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Commission Medical Underwriter Jobs (NOW HIRING)

Medix

Underwriter

Overland Park, KS · On-site

$28.85 - $38.46/hr

Review medical history and risk data to assess potential claim exposure and risk adjustments ... Any required state or Joint Commission training is compensated at the state or local minimum wage ...

Rsli

Underwriter II

Philadelphia, PA

$68K - $85K/yr

... commissions or incentive awards. The successful candidate's starting base pay will be based on ... A choice of three medical plans (that include prescription drug coverage) to suit your unique needs.

Rsli

Underwriter II

South Portland, ME · On-site

$68K - $85K/yr

... commissions or incentive awards. The successful candidate's starting base pay will be based on ... A choice of three medical plans (that include prescription drug coverage) to suit your unique needs.

Reliance Matrix

Underwriter II

Philadelphia, PA · On-site

$68K - $85K/yr

... commissions or incentive awards. The successful candidate's starting base pay will be based on ... A choice of three medical plans (that include prescription drug coverage) to suit your unique needs.

Berkley

Senior Underwriter

San Diego, CA · On-site

$80K - $135K/yr

Preferred serves 10,000 policyholders and provides medical claims handling and claims management ... Works closely with Field Sales Managers in the achievement of pricing targets and commission ...

Berkley

Senior Underwriter

San Diego, CA · On-site

$80K - $135K/yr

Preferred serves 10,000 policyholders and provides medical claims handling and claims management ... Works closely with Field Sales Managers in the achievement of pricing targets and commission ...

Berkley

Senior Underwriter

San Diego, CA

$80K - $135K/yr

Preferred serves 10,000 policyholders and provides medical claims handling and claims management ... Works closely with Field Sales Managers in the achievement of pricing targets and commission ...

The Doctors Management Company

Senior Underwriter

Austin, TX · On-site

$97K - $115K/yr

Five (5) years Medical Professional or commercial insurance; financial services or mathematical ... Ability to calculate figures and amounts such as discounts, interest, commissions, proportions ...

The Doctors Management Company

Senior Underwriter

Napa, CA · On-site

$111K - $132K/yr

Five (5) years Medical Professional or commercial insurance; financial services or mathematical ... Ability to calculate figures and amounts such as discounts, interest, commissions, proportions ...

The Doctors Company

Senior Underwriter

Jacksonville, FL · On-site

$93K - $122K/yr

Five (5) years Medical Professional or commercial insurance; financial services or mathematical ... Ability to calculate figures and amounts such as discounts, interest, commissions, proportions ...

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Commission Medical Underwriter information

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$35

$40

$44

How much do commission medical underwriter jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for commission medical underwriter in the United States is $40.70, according to ZipRecruiter salary data. Most workers in this role earn between $38.70 and $42.55 per hour, depending on experience, location, and employer.

What is the difference between Commission Medical Underwriter vs Medical Underwriter?

AspectCommission Medical UnderwriterMedical Underwriter
CredentialsTypically requires insurance licensing and underwriting certificationsUsually requires a related insurance or healthcare certification
Work EnvironmentInsurance companies, brokerage firms, or independent agenciesInsurance companies, healthcare organizations, or third-party administrators
Industry UsageCommonly used in insurance sales and commission-based rolesPrimarily in insurance underwriting and risk assessment
Comparison FocusFocuses on underwriting with commission-based compensationFocuses on risk evaluation and policy approval

The main difference between a Commission Medical Underwriter and a Medical Underwriter lies in their compensation structure and focus. Commission Medical Underwriters often work in sales-driven environments with a focus on generating policies and earning commissions, while Medical Underwriters concentrate on assessing health risks and approving policies without a commission-based pay structure.

How much do commission medical underwriters make?

Commission medical underwriters typically earn a base salary plus commissions or bonuses based on the policies they underwrite. The total compensation can range from $60,000 to over $100,000 annually, depending on experience, location, and performance. Strong analytical skills and industry certifications can influence earning potential.

Is underwriting a commission-based job?

Commission medical underwriters typically do not work on a commission basis; they are usually salaried employees. Their compensation is often based on a fixed salary, though some roles may include performance bonuses or incentives related to productivity or accuracy. The primary focus is on assessing risk and determining policy terms rather than earning commissions.

What cities are hiring for Commission Medical Underwriter jobs?

Cities with the most Commission Medical Underwriter job openings:

What are the most commonly searched types of Medical Underwriter jobs?

The most popular types of Medical Underwriter jobs are:

What states have the most Commission Medical Underwriter jobs?

States with the most job openings for Commission Medical Underwriter jobs include:

Commission Medical Underwriter jobs near you

Senior Underwriter - Medical Malpractice

AmTrust Financial Services, Inc.

Seattle, WA

$92K - $130K/yr

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 29 days ago

Job description

Senior Underwriter – AmTrust E&S Insurance Services. This underwriting position is designed for an individual with a minimum of seven (7) years of Medical Professional Liability underwriting experience. Strong preference for a background in the E&S (excess & surplus) market writing Physician’s Professional Liability and/or medium to high hazard medical facilities Professional Liability insurance. Knowledge of individual account risks within the class, hazards by specialty, rating, pricing, and form selection as well as knowledge of industry standard company forms is required to properly underwrite risk.

With this opportunity, you will underwrite and manage a portfolio of hard to place medical professional liability risks with a focus on individual and small physician group Professional Liability with tougher exposures considered unique or challenging in accordance with AmTrust E&S guidelines, strategy and profitability standards. The person in this position is responsible for new business development, risk analysis and assessment, coverage evaluation, pricing and contract negotiation in order to maintain and develop a profitable portfolio of non-admitted primary liability risks.


· Build and maintain a solid flow of new business opportunities, identifying opportunities for growth within new and existing production sources. Position has direct responsibility for broker development and management within a book of business.

· Develop risk pricing by analyzing exposures, claims experience, utilizing pricing tools and worksheets, comparison to similar risks, as well as experience in underwriting exposures pertaining to individual risks, for new accounts within assigned portfolio and authority level.

· Consistently achieve budgeted financial results (premium, loss ratio, retention, commissions, pricing, new business, premium collection, and expense management) as established for individual portfolios.

· Identify and take corrective action and/or collaborate with the appropriate area within the organization based on individual risk characteristics identified through broker reviews, large loss analysis, risk control, etc.

· Ensure compliance with underwriting strategies and regulatory requirements.

· Remain current on legal and regulatory changes and claim development in order to contribute to unit product development and portfolio decisions.

· Provide responsive service to brokers by delivering timely and accurate quotes and endorsements.


· Minimum of 7 years of Liability underwriting experience preferred; high-hazard, complex risks, or E&S underwriting experience with a focus on Medical Professional Liability highly desired 

· BA/BS degree strongly preferred, or equivalent in experience

· RPLU or other related Insurance Designation(s) preferred

· Knowledge of commercial Excess and Surplus lines risk, classification, pricing and coverage options with adherence to applicable statutory compliance issues and corporate guidelines.

· Able to understand and execute to strategic priorities including; pricing strategy, agent strategy, rate strategy, underwriting appetite, limit management and mix of business.

· Strong knowledge of the E & S external market and demonstrated marketing and business development experience within the wholesale distribution channel.

The expected salary range for this role is $92,000-$130,000/year.

Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.

#LI-MM1


AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

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